Category Archives: Lumineers

Why Did Her Dentist Stain Her Lumineers?

I recently went to the dentist about a smile makeover after I received an advertisement from him about Lumineers. I spoke with him extensively ahead of time about the type of smile I wanted. One of the requests was to have a very white smile. When the Lumineers were placed on my teeth I realized they were darker than I expected. When I questioned him about that he told me he ordered a stain on them so they’d look like natural teeth. He told me I’d realize he was right in a few days. After a few days, I called him back asking him if he could make them whiter. He had me come in and then he drilled off the outer layer to get to the white underneath, but it looks uneven and dull. What do I do?

Melody

Dear Melody,

I am glad you wrote. You are dealing with a family dentist who is in over his head trying to do cosmetic work he doesn’t have adequate training for. My first hint was when you said he advertised Lumineers.

This particular brand of porcelain veneers is highly marketed to inexperienced cosmetic dentists as being easy to place. They say this because the veneers are thinner than some other brands which in some cases means there doesn’t need to be any tooth preparation. Unfortunately, in most cases, they end up looking bulky.

A second thing that told me he was not an experienced cosmetic dentist was his attitude. In dental school, we are taught that we know better than their patients. This philosophy does not work with cosmetic dentistry. With smile makeovers, we are creating an image the patient has in their head. Their dream smile. He doesn’t get to tell you what you’ll like.

The stain is also something taught in general dentistry. Most people have at least some stained teeth so your dentist thought that to make your smile look natural he’d have to add one to yours. However, patients don’t pay to get a smile makeover that looks like every other smile. They want something that looks exceptional.

Finally, he bonded your Lumineers on before letting you see them on your teeth to approve them. Experienced cosmetic dentists will use a temporary try-in paste for you to see the smile makeover. If you don’t absolutely love it, instead of bonding it on, they will send it back to the lab to make any necessary changes.

Unfortunately, you can’t get a refund on a smile makeover just because it is ugly. The standard is function. In your case, this is good news. When he filed away the stain, he also took the protective glazing with it. Now they have no protection and will pick up stains quickly. You should be entitled to a refund because of this.

If he gives you a hard time, contact us again and I’ll tell you how to get a refund from a dentist.

This blog is brought to you by Salem, MA Cosmetic Dentist Dr. Randall Burba.

New Lumineers Over Old

I had Lumineers placed quite a few years ago. I’ve never been happy with the color. My dentist knew I wanted whiter ones, but his tech guy told him it wasn’t possible to get them that white. In recent years, I think that has changed because I see a lot of people with really white teeth. I’ve been told that I can’t whiten them, but my dentist suggested we place new Lumineers on top of old Lumineers to make them look better. Have you heard about that being done before?

Madison

Dear Madison,

porcelain veneer being placed on a tooth

The one thing I agree with your dentist about is that using teeth whitening will not help with dingy Lumineers. Teeth whitening only works on natural tooth structure. Everything else he’s either done or suggested in regard to this case, I have serious concerns about.

Let’s start with the original color. Even several years ago, you would have been able to get your smile as white as you wanted. One thing you should know is that Lumineers is just one brand of porcelain veneers. This brand is highly marketed to inexperienced cosmetic dentists. However, most expert cosmetic dentists do not prefer that particular brand. The main reason for that is the company that owns Lumineers insist dentists use their lab, which isn’t known for its artistry or skill. This may be why that particular technician didn’t get them white the first time.

The second issue I have is his suggestion of new Lumineers over old. This is a really bad idea for a few reasons. First, it is just as difficult to place the Lumineers on top of the old ones as it is to just replace them.

Second, the Lumineers will not bond as well to porcelain as it will to your natural tooth structure. This puts it at risk of bonding failure. Finally, the chance of bonding failure doubles because both the new ones and the old ones are at risk.

Getting the Smile Makeover You Want

If you truly want a smile you will be proud of, you will need to go to a different dentist to get it. If you are happy with him as your general dentist, you can still use him in that capacity. Many patients have one dentist for general work and one for cosmetic work.

While there isn’t a recognized specialty in cosmetic dentistry, there is a way to ensure you have a skilled and artistic cosmetic dentist. I recommend that you see an AACD accredited cosmetic dentist. These dentists are in the top 1% of cosmetic dentists in the country. They can create a stunning smile for you. In fact, most of them even have a beautiful smile guarantee.

Don’t be surprised if whichever dentist you end up with suggests a different brand of porcelain veneers. They will know the strength and weaknesses of each and based on what type of smile you want, they will pick the brand whose strengths will give you the most benefit.

This blog is brought to you by Salem, MA Dentist Dr. Randall Burba.

I Can’t Afford The Repair for my Chipped Tooth

`I chipped a front left tooth. My dentist suggested two Lumineers to ensure they match but they cost so much money. I would literally have to take out a loan. I’m hoping there may be another cheaper solution and my dentist was just trying to give me the Porsche type of solution.

Jenna

Dear Jenna,

Your dentist certainly suggested the most expensive treatment, but I wouldn’t exactly call it the Porsche. Lumineers is a brand of porcelain veneers that are often marketed to inexperienced cosmetic dentists as being easy to place. I’m afraid your dentist likely falls into this category for a couple of reasons. The first is the treatment he is suggesting for this repair. The second is the fact that he needs to do two veneers to get them to match. A skilled cosmetic dentist can match a single tooth with a single veneer.

The one good thing working in his favor is he didn’t suggest a dental crown as a solution, which would require healthy tooth structure to be ground down. I have actually seen some suggest this.

The Best Solution for a Chipped Tooth

If you have a chipped tooth, the standard solution is dental bonding. However, I wouldn’t try to force or pressure your dentist into doing this. Tooth bonding is an advanced cosmetic procedure that has to be done freehand.

My suggestion is you find a dentist who already has cosmetic expertise to do this repair for you. The best cosmetic dentists are AACD accredited.

This doesn’t mean you have to switch dentists permanently. You can just go to the cosmetic dentist for the bonding and stay with your dentist for everything else.

Teeth Whitening and Dental Bonding

Dental bonding can blend in perfectly with the remainder of your teeth when done well. However, once it is bonded on, no changes can be made. If you are considering getting your teeth whitened in the near future, it will save you money to do it before your bonding is done.

If you wait and do it after, your natural tooth structure will whiten, but the bonding will stay the same color. To get it to match, you will need to replace the bonding.

This blog is brought to you by Salem, MA Cosmetic Dentist Dr. Randall Burba.

Durathin or Lumineers?

I plan on getting a smile makeover but am having a hard time deciding between Durathin or Lumineers. So far, I like the images of the Durathin veneers better. Is there a huge price difference between the two?

Evelyn

Dear Evelyn,

A dental tool holding up a porcelain veneer

I want to try and make a course correction about how you are going about this. Instead of thinking about porcelain veneers as an item purchase, you would be closer to reality if you thought about it as commissioning an artist to create a portrait.

In that case, you wouldn’t be deciding between what brands of paint you want for the portrait, you’d be considering the skill of the artist and letting them choose the best paint for the job.

Creating a smile makeover is an art form. Unfortunately, it is an artform that isn’t taught in dental school. A dentist has to choose to get that training post-doctorally. What you need is a dentist who has invested a significant amount of time in training and developing their technique and artistry. They are the ones who can provide you with a stunning smile.

One thing you will find is not many of them like the Lumineers brand. This is because their company, insists you use their lab, which isn’t known for producing beautiful results. This also may be why you like the Durathin images better.

Proven Cosmetic Dentists

When you are looking for an expert cosmetic dentist to do your smile makeover, the best cosmetic dentists are AACD accredited. These dentists have passed stringent exams and have provided visual evidence of a large number of cases they’ve done, which is carefully examined by a panel of experts for both their technical skill and artistry.

Any dentist can join the American Academy of Cosmetic Dentistry, but only the ones who pass this rigorous process can be accredited. You will be pleased with any smile they create for you.

This blog is brought to you by Salem, MA Dentist Dr. Randall Burba.